Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,722.04 / $2,015.87 / $2,767.19	Professional		$1,722.04	$2,015.87	$2,767.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $2,094.64 / $3,330.48	Professional		$1,980.00	$2,094.64	$3,330.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.49 / $2,235.86 / $4,037.11	Professional		$1,579.49	$2,235.86	$4,037.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,763.06 / $2,226.00 / $3,073.54	Professional		$1,763.06	$2,226.00	$3,073.54
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,493.10 / $2,091.32 / $3,678.53	Professional		$1,493.10	$2,091.32	$3,678.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,510.65 / $2,134.23 / $2,648.69	Professional		$1,510.65	$2,134.23	$2,648.69